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New App: -s~ <br />Operator• ~~ ~< <br />~I~'~I'I~!~IIIII'II <br />DIVISION OF MINERALS AND GEOLOGY <br />112 Regular Operation <br />Application Worksheet/Checklist <br />Amendment App: <br />~F , ~$ ,n <br />Mine Name: _l c±-rl~ <br />APPLICATION FORM (Rule 1.4): <br />Conversion App: <br />Mine ID: - ~ ~ `~ ~ <br />Submittal Date: J ~ l°' q <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br />-( / / <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> <br />ITEMS 13 14 CONV/ADM PERMTEE SIG <br />COMPLETED DESCP R SP <br /> p~ <br />/ ~ 5~~6' ../ <br /> a ~LY~, <br />~ " L <br />~` <br /> E 9 <br />~~ ~,~ , <br />MAPS and EXHIBITS (Rule 6.2 and 6.4) ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION <br />EXHIBIT B - 6.4.2 - INDEX MAP `' <br />